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building permit TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518) 761-8201 Yry'u G" 4 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-0300-2019 Tax Map No: 295.6-1-1 Permission is hereby granted to: T-Mobile For property located at: 1127 WEST MOUNTAIN RD In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Name: TOWN OF QUEENSBURY WATER I Cell Tower $201000.00 Owner Address: 823 Corinth RD Total Value $201000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency TSC Contracting 129 Brown ST Johnson City,NY 13790 Plans&Specifications Cell Tower upgrade $ 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday, June 1, 2020 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Friday, May 31, 2019 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement